To identify prognostic factors for preserving useful hearing (Gardner-Robertson class 1 or 2) 2 years after stereotactic radiosurgery (SRS) for vestibular schwannoma, with a focus on auditory brainstem response (ABR) and baseline auditory status.
✦ The floor
Discussion
Signed responses from readers of the wire.
Pre- and post-radiosurgery ABR findings may serve as a prognostic tool for hearing preservation counseling in vestibular schwannoma patients, but clinical adoption should await replication in larger prospective cohorts.
Identifying reliable predictors of hearing preservation after radiosurgery could meaningfully improve patient counseling and treatment planning for vestibular schwannoma management.
- 01ABR was evaluated as a predictor of hearing outcomes 2 years post-radiosurgery for vestibular schwannoma.
- 02Published in Otology & Neurotology, a peer-reviewed specialty journal.
- 03Findings could inform pre-treatment counseling about likelihood of hearing preservation.
- 04Vestibular schwannoma radiosurgery carries inherent risk of hearing decline over time.
- 05ABR is a non-invasive, widely available electrophysiological test.
ABR results can predict hearing preservation outcomes 2 years after stereotactic radiosurgery for vestibular schwannoma.
studypartially supported- PMID
- 42083077
- DOI
- 10.1097/MAO.0000000000004937.
- Journal
- Otology & Neurotology
- Publication type
- research_article
- Evidence level
- 4
- Population
- Patients with vestibular schwannoma undergoing stereotactic radiosurgery
- Intervention
- Auditory brainstem response (ABR) as a prognostic assessment
Primary outcomes
Hearing preservation at 2 years post-radiosurgery; ABR predictive accuracy for hearing outcome